Membership Form

Wapello County Genealogical Society Membership Form

Complete this form and and mail your payment to become a member.
    Mail to:    Wapello County Genealogical Society
                   P.O. Box 163
                   210 West Main Street
                   Ottumwa, Iowa 52501
    or bring to the Society Library at same address, second floor of the Amtrak Depot.
    (Membership includes newsletter)

Membership fees are:
Individual = $15.00 per year
Family = $20.00 per year
Life = $125.00
    (new members enrolling between 1 Oct & 31 Dec will have dues extended thru the next year.)

(Dues paid between 1 Jan and 30 Sep are for the current year only.)

Last name *

First name

Middle name

Suffix

Street

City

State/Province

Country/Region

ZIP/Postal Code

Primary phone

Alternate phone

Fax

E-mail address

Birthday

Indicate Membership Level (Individual, Family, Lifetime)

Or print and mail/deliver this form along with payment to the Wapello County Genealogical Society at the address above.

Wapello County Genealogical Society

Obits, probates, marriages, births